Have you reviewed the Volunteer requirements?

Are aware of the consequences of not meeting them?

If you have and still choose NOT to participate, we ask that you submit the following form to school:

VIRTUS/VOLUNTEER REQUIREMENTS WAIVER

VIRTUS/VOLUNTEER REQUIREMENTS WAIVER

NAME: _______________________________________________________

I have been made aware of the requirements for volunteering at St. James School and the Diocese of Bridgeport and I choose NOT to: (check those that apply)

Have a background check performed

Sign the "Acknowledgement of Receipt" Form

Attend a "Protecting God's Children" workshop

Comply with any of the stated requirements.

Signature: __________________________________________

Date: ______________________

Please send into the St. James School Office
1 Monument Pl., Stratford CT 06615